nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-1-125-130nnp-1057Research ArticleREVIEWSОБЗОРЫFunctional movement disorders: positive diagnostic criteriaФункциональные двигательные расстройства: позитивные критерии диагностикиИвановаЕ. О.IvanovaE. О.

Екатерина Олеговна Иванова

125367, Москва, Волоколамское шоссе, 80

Ekaterina Olegovna Ivanova

80, Volokolamskoe Shosse, Moscow 125367

kate-fileo@mail.ruФедотоваЕ. Ю.FedotovaE. Yu.

125367, Москва, Волоколамское шоссе, 80

80, Volokolamskoe Shosse, Moscow 125367

ФГБНУ «Научный центр неврологии»РоссияNeurology Research CenterRussian Federation201906032019111125130Copyright © Ivanova E.О., Fedotova E.Y., 20192019Иванова Е.О., Федотова Е.Ю.Ivanova E.О., Fedotova E.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1057

Functional movement disorders (FMDs) are a complex medical problem requiring a set of different diagnostic and treatment approaches: neurological, psychiatric, psychotherapeutic, and neurophysiological. With the advent of positive criteria for the diagnosis of FMDs, the latter are no longer just a diagnosis of exclusion, which is difficult for clinical interpretation. The review considers positive clinical and instrumental diagnostic criteria and presents the neurophysiological characteristics of functional tremor and functional myoclonus, which allow one to suspect this diagnosis. Their timely recognition is extremely important, as this permits patients to reduce the cost of unnecessary examinations and ineffective drugs and increases the chances for successful treatment, since the best prognosis is noted with the shortest duration of the disease.

Функциональные двигательные расстройства (ФДР) – комплексная медицинская проблема, требующая сочетания различных подходов к диагностике и лечению: неврологических, психиатрических, психотерапевтических, нейрофизиологических. С появлением позитивных критериев диагностики ФДР эти расстройства больше не являются только «диагнозом исключения», сложным для клинической интерпретации. В обзоре рассмотрены клинические и инструментальные диагностические критерии, приведены нейрофизиологические характеристики функционального тремора и функционального миоклонуса, которые позволяют заподозрить данный диагноз. Своевременное их распознавание крайне важно, так как позволяет пациентам сократить траты на ненужные обследования и неэффективные препараты, повышает шансы на успешное лечение, поскольку наилучший прогноз отмечается при наименьшей длительности заболевания.

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The authors declare that there are no conflicts of interest present.